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Organization
JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC.
Active
Organization
JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC.
Active
Parent organization
JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC.
Other names
Frazier Rehab Institute Elizabethtown
Organization subpart
Yes
Provider details
NPI number
Legal business name
JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC.
Authorized official
MR. RONALD FARR (CHIEF FINANCIAL OFFICER)
(502) 540-3888
Entity
Organization
Contact information
Practice address
708 WESTPORT RD, SUITE 105, ELIZABETHTOWN, KY 42701-2866
(270) 360-8094
(270) 769-3260
Mailing address
PO BOX 2587, LOUISVILLE, KY 40201-2587
(502) 587-4099
(502) 587-4904
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
—
—
273Y00000X
Rehabilitation Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
186646
MEDICARE
KY
Enumeration date
06/16/2006
Last updated
08/28/2012
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